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27 May 2016

Information and advice from Public Health England

During episodes of high air pollution:

"While most people will not be affected by short term peaks in ambient air pollution, some individuals, such as those with existing heart or lung conditions, may experience increased symptoms."

"On occasions where levels are high, adults and children with lung problems, and adults with heart problems, should reduce strenuous physical exertion, particularly outdoors, and particularly if they experience symptoms. People with asthma may find they need to use their reliever inhaler more often. Older people should also reduce physical exertion. Anyone experiencing discomfort such as sore eyes, cough or sore throat should consider reducing activity, particularly outdoors."

During episodes of very high air pollution:

"Some parts of the countryhave recorded / are forecast to havevery hhigh levels of ambient air pollution. PHE is advising people in those areas to reduce physical exertion, particularly when outdoors and especially if they experience symptoms such as a cough or sore throat. Adults and children with lung problems, adults with heart problems, and older people, in areas where high levels are recorded should avoid strenuous physical activity. People with asthma may find they need to use their reliever inhaler more often."

See http://uk-air.defra.gov.uk/latest/ for the latest UK air pollution data and maps.

Q&A

Ambient air pollution 

We're all exposed to low levels of ambient air pollution all the time but episodes  like this can have pronounced effects on some particularly the old, the young and those with existing heart and lung conditions.

Check the advice for your area. If an ambient air pollution episode is on-going/forecast it's important you know what the impact is in your area and, if appropriate, tailor your plans around it. People should not fear going outdoors, but some people may experience some noticeable symptoms.

What about the health effects of short-term exposure to air pollution?

The evidence suggests that when levels of air pollutants rise, adults suffering from heart conditions, and adults and children with lung conditions, are at increased risk of showing symptoms and needing treatment. Only a minority of those who suffer from these conditions are likely to be affected but it is not possible to predict in advance who will be affected.

Some people are aware that air pollution affects their health: adults and children with asthma may notice that they need to increase their use of inhaled reliever medication on days when levels of ambient air pollution are higher than average.

For the general population, at Very High levels of air pollution, some people may experience a sore or dry throat, sore eyes or, in some cases, a tickly cough even in healthy individuals.

Short-term elevations in levels of air pollutants have been shown to increase mortality. On average, mortality is a little higher on days of higher air pollution, or days immediately afterwards.  However, the impact on mortality is much less than the effects of long-term exposure.

Should children be kept indoors during high air pollution episodes?

Children need not be kept from school or prevented from taking part in games. Children with asthma may need to increase their use of reliever medication on days when levels of air pollution are higher than average.

Advice to people exercising outdoors for endurance events in areas with High / Very High pollution

People exercising outdoors during air pollution episodes are advised to check air quality forecasts and follow the public health advice provided.

Runners, cyclists and others training or taking part in endurance events will need to take several factors into account when preparing or participating, including their current health, past experience, fitness, air pollution forecasts and their speed.

Runners and cyclists can reduce their exposure to traffic-related air pollution by their choice of training route - for example by avoiding exercising alongside busy roads and training at a time that avoids the rush hour.

Specific advice to runners taking part in a Marathon/other endurance event

Runners need to make a decision on participating in a Marathon based on their current health, past experience, fitness, the weather and the air pollution forecasts in the location of the Marathon. Runners will also need to take these factors into account when they decide on how to prepare for the event and at what speed they wish to run. Runners can reduce their exposure to traffic-related air pollution by their choice of training route (i.e. by avoiding exercising alongside busy roads, and training at a time that avoids the rush hour).

Adults and children with heart or lung problems are at greater risk of experiencing symptoms. The public should follow their doctor's usual advice about exercising and managing their condition. It is possible that very sensitive individuals may experience symptoms even on Low air pollution days. 

What can be done to reduce air pollution?

Measures can be taken to cut pollution from vehicles, for example through low-emission zones in cities which charge motorists for driving heavily polluting cars and lorries, promoting electric or hybrid vehicles and public transport, walking and cycling.

Other measures include reducing electricity generation from fossil fuel combustion plants, with more use of renewables.

How can people reduce their exposure?

People can reduce their exposure to traffic-related air pollution when they are walking of cycling through their choice route - for example by avoiding busy roads and avoiding rush hour.



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